Ratliff, Jack L

Ratliff, Jack L is an sole proprietor health care provider with primary practice located at 739 Hayne Ave Sw , Aiken SC 29801-3816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ratliff, Jack L can be contacted via phone (803) 233-6576.

Contact Information

Primary practice address
739 Hayne Ave Sw Aiken SC 29801-3816
Phone: (803) 233-6576
Fax: (803) 233-4675
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A35826 South Carolina

Profile Details

NPI number 1235194515
LBN Legal business name Ratliff, Jack L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2006
Last updated Jan 22nd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235194515 NPPES
South Carolina MEDICAID 083331

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